Active NPI
Lifecare Family Chiropractic LLC
- Chiropractor
- Ellington, CT
National Provider Identifier
1376739524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001208
- Legal business name
- LIFECARE FAMILY CHIROPRACTIC LLC
- Practice address
- 105 West Rd
Ellington, CT 06029-5700 - Phone
- (860) 872-2070
- Fax
- (860) 872-2070
- NPI assigned
- Sep 21, 2007
- Last updated
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean Noel, D.C.
- Title
- Owner
- Phone
- (860) 872-2070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001208 | CT | Primary |
Addresses
Primary practice location
105 West Rd
Ellington, CT 06029-5700
Mailing address
105 West Rd
Ellington, CT 06029-5700
Phone (860) 872-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 West Rd
Ste 7
Ellington, CT 06029
Phone (860) 872-2070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Ellington, CT
- NPI 1235238643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190332800000",
"number": "1376739524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WEST RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060295700",
"telephone_number": "860-872-2070",
"fax_number": "860-872-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WEST RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060295700",
"telephone_number": "860-872-2070",
"fax_number": "860-872-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A",
"authorized_official_last_name": "NOEL",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-872-2070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.